So aggravated DD pooped her pants again UD pg 7 pics pg 9

We've been potty training my 4yo for 2 years now. Her problem is she holds it, and holds it, and holds it. She used to hold her pee, but after 2 years she will finally pee in the potty when she needs to.

But she still holds her poop. Until she's completely constipated. Then she leaks poop into we underwear. Then she doesn't tell us she has poop in her underwear and walks around with it for hours until we notice. By that time she has poop all the way up her vagina.

She has had 2 full blown UTIs from this, ultrasounds to check her kidneys, etc. multiple trips to the ped for constipation. She is on a laxative and half a capful of miralax twice a day. This helped for a few months, but she's back to holding it.

We've tried positive reinforcements, praising, cheering, candy when she goes on the potty, reading to her on the potty. We remind her and ask I she needs to go constantly. We've tried negative reinforcements, taking away TV time and treats and dessert when we catch her having gone in her pants and not telling. If she goes in her pants but tells us right away so we can clean her up she does not get punished.

But tonight is the third night in a row she has gone and not told us. She's already grounded from TV and treats. WTF do I do? If she gets another UTI that will be 3 in two years and her ped is going to think I'm negligent or something. Not to mention I'm seriously worried she'll get really sick.

Anyone have any tips on how to get her to stop holding it until she's constipated and just go to the freakig bathroom when she has to go?

Yes. I was only punishing her for not telling me when he had an accident so I could clean her up, not for the accident itself. I tried to stress that to her, but she's 4 so I guess she might not get that.

But I just got her to poop by giving her an extra laxative and since she pooped I celebrated and said she got her TV time back. After reading this I guess I will not take TV time away again.

Is it okay to just put her in pull ups when she gets home from school? And the GI was the one who did her last procedure, she had dye inserted into her ureathra and they checked for reflux. And then the ped after that put her on the laxative/miralax. Do I need to call the GI again as well as the ped?

She should be seeing a GI regularly until she's completely over this. My son sees his GI every 3 months, sooner if we need to. His last hospitalization was in may and he's looking at another soon. He was in underwear for months and recently fell back into his holding pattern and is back in pull ups

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"you just turned 23! omg sometimes I forget some of you are so young! I want to carry you around in an Ergo-deputy 1079

So, a friend went to a gi psychologist. They said to give him miralax everyday. And an enema every night for a week. Sit him down after every meal. Especially after enema. They get a treat if they sit without fighting. A good treat if they poop! Like a dollar store toy or something. I'm going to try it soon. My son also withholds. Peed without an issue. He trained in a weekend. Poop? Nope.